Dr. Hala Gomaa

Dr. Gomaa has over 20 years of experience in Obstetrics and Gynecology, with more than 10 years focusing on Reproductive Endocrinology & Infertility (REI). She earned her Bachelor of Medicine and Surgery (MBBCh) in 1996 from Cairo University, Egypt. After completing her residency in OBGYN, she acquired a Master of Science degree in 2000 from the same institution. Dr. Gomaa also completed two clinical fellowships in Reproductive Sciences and Mature Women’s Health at Mount Sinai Hospital, University of Toronto in Canada.

Dr. Gomaa holds several certifications including NAMS Certified Menopause Practitioner (NCMP) and a membership in the Royal College of Obstetrics and Gynaecology (RCOG) in the UK since 2019. She is also certified by the British Fertility Society in various areas, including fertility preservation, management of infertile couples, assisted conception, male infertility, embryo transfer / IUI, and pelvic ultrasound.

Dr. Gomaa is deeply committed to research, evident through her numerous publications and presentations. Her involvement in research projects ensures she remains updated on the latest treatment protocols, complementing her extensive diagnostic and management skills in infertility. Patients described her as empathetic, professional, and compassionate, reflecting her dedication to providing the highest quality care.

Prior to joining HealthPlus Fertility Center in Abu Dhabi, Dr. Gomaa worked at SIMS IVF Centre in Ireland and Conceptia Fertility Clinic in Canada as a Reproductive Endocrinologist and Fertility specialist.

 Dr. Gomaa’s scope of practice involves a full evaluation of couples’ fertility through laboratory and radiographic methods. She develops a comprehensive management plan including counseling, fertility medications, and IVF. Additionally, Dr. Gomaa also provides services in fertility preservation, recurrent implantation failure, and male infertility.

Dr. Asheesh Krishan Kaul

Dr. Kaul joined the HealthPlus Fertility medical team in January 2024, bringing with him a wealth of expertise in the field of urology. He embarked on his medical journey by obtaining his Bachelor of Medicine and Bachelor of Surgery (MBBS) degree from University College London, United Kingdom in 2008.

Subsequently, he completed his residency training at Health Education England, United Kingdom where he honed his skills across various prestigious London hospitals from 2014 to 2019. During his specialty training at University College London in 2018, Dr. Kaul embarked on a sub-specialist training in andrology, examining the intricate realms of medicine and surgery related to the male reproductive tract Before joining Healthpoint Dr. Kaul played a pivotal role as
the leader of the specialist andrology service for the entire East of England region while continuing a general urology practice at the Norfolk and Norwich University Hospitals NHS Foundation Trust, where he served as a Consultant Urologist and Andrologist from September 2020 to 2023.

Dr. Kaul brings extensive expertise to the management of urinary tract stone disease and general urological issues, including male and female lower urinary tract symptoms, blood in the urine, and prostate cancer diagnosis. His professional concentration spans a diverse range of penile surgeries, encompassing procedures such as circumcision and vasectomy reversal to intricate reconstructions involving skin grafting and penile implant surgeries. Particularly noteworthy is his specialization in correcting penile curvature, a testament to his dedication to providing comprehensive patient care.

Intra Cytoplasmic Sperm Injection (ICSI)

During Intra Cytoplasmic Sperm Injection method (ICSI), a single sperm is injected directly into the cytoplasm of the egg by an embryologist, having selected the sperm that are most active and healthy. It is indicated when sperm is either of low quality or quantity, when the sperms are surgically retrieved, when there has been previous failed or low fertilization with IVF (In Vitro Fertilization).Hence,  ICSI allows the use of sperm that may not otherwise have been able to fertilize an egg.  

The egg is examined for signs of fertilization as soon as 17–20 hours after ICSI. Over time, it has been found that around 80% of the eggs will be fertilized, except for couples that have severe infertility factors. 2% of all the “normal” looking sperm and eggs do not get fertilized even when the ICSI method is used. 

 Embryos are usually found in different stages and grades after being fertilized. The quality of the embryo is assessed by an embryologist, who will then provide you with the necessary information. The embryos thus formed, are transferred back to the uterus either after 2, 3 or 5 days or frozen for future use.

It is important to note that every couple is different. So it is important that proper tests are taken and that their medical history is discussed with a specialist before choosing to go for a particular method. 

HealthPlus is fully committed to ensuring that every patient’s dream of becoming a parent is achieved.

Dr. Rozh Jalil

Dr. Rozh Jalil is a highly esteemed Consultant Urological Surgeon and Andrologist, with 13 years of experience in various areas of urology, including general urology and stone disease, men’s health, male fertility, minimally invasive procedures of the prostate, and microsurgery.

To further enhance his knowledge and skills, Dr. Jalil obtained a Doctorate in Medicine (MD(Res)) from Imperial College London, UK, in 2014. He also holds a postgraduate diploma in Health and Medical Education from the University of Hertfordshire, UK. Dr. Jalil’s contributions to the medical community extend beyond clinical practice, as he has published numerous articles and made significant contributions to international medical journals and books.

Dr. Jalil excels in several areas within urology, including andrology, Benign Prostatic Hyperplasia (BPH), stone disease, prostatic disease and lower urinary tract symptoms, and urinary tract infections. He is skilled in utilizing cutting-edge technologies to provide the best possible treatment options for his patients. Dr. Jalil’s extensive expertise, dedication to patient care, and commitment to advancing the field of urology make him a highly respected and sought-after Consultant Urological Surgeon and Andrologist.

Prior to joining HealthPlus Fertility in Abu Dhabi, Dr. Rozh held the position of Consultant Urologist and Andrologist at King’s College Hospital Foundation NHS Trust in the United Kingdom, where he also led the male fertility department.

Assisted Reproduction

Assisted reproduction involves a set of processes by which eggs, sperm, or both are handled outside the body. There are several assisted reproduction methods that are now commonly used. They include in vitro fertilization (IVF), intrauterine insemination (IUI).

Intrauterine Insemination

During an intrauterine insemination (IUI) procedure, a small catheter is used to insert sperm into the uterus. This helps to increase the number of healthy sperm that reaches the woman’s fallopian tube when she is fertile, thereby increasing the chances of fertilization. IUI has become popular because it is cheaper than in vitro fertilization and is not as invasive.

In Vitro Fertilization

The most common form of assisted reproduction treatment is in vitro fertilization (IVF). Vast majority of IVF cycles are performed with some type of ovarian stimulation. Ovarian stimulation is usually started on the second or third day of your menstrual cycle. Ovarian stimulation involves using fertility medications to cause multiple eggs to grow and at the same time prevent premature ovulation. Once the eggs (follicles) are ready for egg retrieval, you will be administered an injection to trigger ovulation. Following the final trigger, egg retrieval is performed under anesthesia. Egg retrieval is known by several names, including ovum pick up, egg pick up and egg collection. During this procedure, the physician inserts an ultrasound probe into the vagina and then uses a needle to withdraw the egg from each follicle (takes approximately 15-30 minutes) depending upon how many follicles are present. After the retrieval procedure, the eggs are combined with sperm in a laboratory dish so they will fertilize. This produces an embryo. The embryo that is produced is then placed back into her uterus on the 2nd, 3rd or the 5th day, where it implants and begins to grow. When more than one embryo is transferred, there is a possibility of having multiple births, such as twins or even more.

Many people view in vitro fertilization as the last resort for all infertility problems. But of all the assisted reproduction techniques, it has a high success rate. 

Since the introduction of assisted reproduction, it has become more likely for all couples to have a healthy pregnancy. There are methods that would suit anyone as long as their medical history is analyzed properly by their specialists. These methods also ensure that you have control over your body concerning when you want to become pregnant and the kind of spacing you want between children.

Contact HealthPlus today to make an appointment with a specialist who will attend to you and to whom you can ask all the questions that you may have.

Dr. Nadia Najjari

Dr Nadia Najjari is a leading expert in Reproductive Medicine and Infertility with more than 25 years of experience. She currently serves as a Consultant at HealthPlus in Abu Dhabi. Dr Najjari received her medical training in Germany and obtained a PhD magna cum laude from RWTH Aachen University. Her extensive expertise in reproductive medicine has been cultivated over 18 years through roles at renowned healthcare institutions in Germany and the UAE.

Dr Najjari’s passion for holistic patient care led her to emphasize a comprehensive approach, incorporating Yoga, Pilates, Acupuncture, and relaxation techniques into treatment plans. As the former Medical Director of a fertility clinic in Abu Dhabi, she orchestrated programs that balanced spiritual, emotional, and physical aspects, yielding exceptional outcomes.

Recognized as a Subject Matter Expert (SME) in Infertility/IVF and Embryology by the Department of Health (DOH) in the UAE, Dr Najjari is dedicated to educating and empowering her patients. She holds various certifications in Psychology, Yoga instruction, Acupuncture, Anti-Aging Medicine, and Pilates training. Dr Najjari also has a Certificate of Achievement in “Fundamentals – Genetics” from Harvard Medical School and an Embryology Certificate from ASRM.

Specializing in IVF segmentation, recurrent implantation failure, hormonal imbalances, and genetic disorders, Dr Najjari is a member of esteemed societies such as ESHRE, ASRM, and DGGG. Beyond medicine, she is an accomplished artist and an advocate for social causes.

Pre-implantation Genetic Testing (PGT)

At HealthPus, there is an ultramodern genetics laboratory that is fully equipped to perform genetic testing on the embryos that are created using in vitro fertilization (IVF). 

Through genetic testing, a large amount of information can be acquired about an embryo before it is transferred to the uterus. After the formation of an embryo via an IVF cycle that occurs following the egg collection and ICSI, the embryo is tested by taking a few cells from it. The embryo is not transferred to the uterus until the results are released.

  1. Comprehensive Chromosomal Screening (CCS): Here, all the 24 chromosomes are screened to determine the gender as well as to find out if there are any missing or additional chromosomes. Abnormalities in chromosomes are one of the major causes of miscarriage.
  2. Gender Selection: This is the screening of the embryos so that the gender can be determined as well as for chromosomal abnormalities.
  3. Pre-implantation Genetic Testing: The embryos can be tested for all the 24 chromosomes before they are transferred into the uterus. This is called pre-implantation genetic testing.
    • PGS (screening) – involves testing of embryos for chromosomal abnormalities.
    • PGD (diagnosis) – involves testing the embryos for a specific known genetic or hereditary disease to ensure that the child does not have it as well.
  4. HLA matching: An HLA (HumanLeukocyte Antigens) matching is used to identify embryos that are HLA compatible with a child who needs bone marrow or cord blood transplant. The child (or the future sibling) of such tissue is often called  a Savior sibling. 

There are three different methods that can be used to identify hereditary diseases in an embryo. After tests and counselling, a method of testing will be settled on. Pre-implantation Genetic Diagnosis (PGD) is usually recommended during the IVF cycle if a genetic mutation is found so that the disease is not transferred.

  • Mutation screening is used to detect mutations present in small genes or genetic diseases that can only be caused by a small number of mutations.
  • Exome Screening is used to check for hereditary diseases that have yet to be identified or for diseases that involve the interaction of two or more genes. Exome Screening has the capacity to analyze tens of thousands of genes at a time.

Blood tests can also be carried out to ensure that there is very little chances of children having the same hereditary diseases as the parents. A common example is the Premarital or Preconception Screening that is done for couples that have a known hereditary disease in their family history and want to be sure that there is no possibility of their children inheriting such a disease.

Dr. Ripal Madnani

Dr. Madnani has more than 15 years of medical experience in Obstetrics and Gynecology with 12 years of specialist experience in Reproductive Medicine and Infertility. Prior to joining, she worked at First IVF and Day Surgery Centre FZ-LLC, Dubai as a Specialist Reproductive Medicine and Infertility. She also gained experience in Bahrain and India, where she worked as an Obstetrician, Gynecologist and IVF Specialist between 2013 and 2022, treating several couples with fertility related issues.

In her new role at HealthPlus Fertility Center Abu Dhabi, Dr Madnani will be working as a Specialist in Reproductive Medicine and Infertility.

Dr. Madnani graduated and obtained her MBBS degree in 2008 from Maharaja Sayajirao University of Baroda, India. She had her residency training in Obstetrics & Gynecology at Medical College Baroda, India from 2008 till 2011 and was then awarded the Doctor of Medicine (Obstetrics and Gynaecology) degree. Subsequently, she completed 2 years of clinical fellowship in Reproductive Medicine and Infertility at the Institute of Kidney Diseases & Research Centre, India from 2011 till 2013.

Dr. Madnani was certified Diplomate of National Board in Obstetrics and Gynaecology in 2019, admitted as European Fellow of Obstetrics and Gynaecology of EBCOG in 2021, and is a Member of the Royal College of Obstetricians and Gynaecologists since 2022.

Dr. Madnani’s scope of practice includes but not limited to Recurrent Implantation (IVF) failure, complicated IVF cases, poor ovarian reserve, endometriosis related infertility, PCOS and infertility, fertility preservation for singles and married couples, immune factors related infertility, and fertility enhancing laparoscopic surgeries.

Surgical Sperm Retrieval

Surgical Sperm Retrieval is a method by which sperm is collected directly from the testis or epididymis of a man. The procedure is usually planned ahead and is done while the patient is under a general or local anesthesia, but it can also be done immediately, if necessary, in the case of an emergency. This is usually in a situation where the man is not able to produce semen on the day his partner’s egg is to be collected.

Techniques of Surgical Sperm Retrieval

There are different techniques by which sperm can be retrieved surgically. The technique used depends on whether the testicles do not produce enough sperm during normal ejaculation or the sperm are not able to reach the seminal fluid because of a blockage in the tube that carries the sperm from the testis.

 1. Percutaneous Epididymal Sperm Aspiration (PESA)

PESA is a very quick SSR procedure and relatively painless. It is the least invasive technique and does not require surgical incision. The process is carried out by inserting a needle into the epididymis from which fluid is removed. The fluid removed is examined by embryologists for sperm content and motility. If no viable sperm is found, then another method will be used.

2. Testicular Sperm Aspiration (TESA)

In TESA, a fine needle together with a biopsy gun is used to remove small lengths of the seminiferous tubule that produce sperm. These tubules are then dissected carefully and examined under a microscope to detect sperm which can be used for ICSI or frozen for later use.

3. Micro-epididymal Sperm Aspiration (MESA) 

A small cut is made which passes through the scrotum and into the epididymis instead of using a needle as in PESA. The fluid removed is then examined under the microscope for viable sperm following the same technique.

4. Testicular Sperm Extraction (TESE) / Micro TESE

This method is used only if no sperm is found when the others are used. In TESE, the tissue is gotten after an incision has been made to open the scrotum. The tissue is cut and taken to the IVF lab where it would be prepared.

Micro TESE, is performed under general anesthesia by a surgeon (usually a urologist) using an operating microscope. A scientist takes samples and seeks live sperm in the samples removed from the testis. This is highly skilled work.